Doctor Name: | JESSICA SAWYER |
NPI Number: | 1740602937 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 150011289 |
Business Practice Address: | 3028 Old Marion Rd Metropolis, IL - 629602942 |
Business Phone Number: | 6185242645 |
Business Fax Number: | |
Mailing Address: | 3028 Old Marion Rd, METROPOLIS |
State: | IL |
Postal Code: | 629602942 |
Phone Number: | 6185242645 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2014 |
NPI Last Update Date: | 01/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 150011289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |